The disparity in mortality in the maternity ward interests Kawei very much. This should be due to his innate curiosity, which has not changed after so many years. But time has to take away something, Kawei

What was taken away was the drive to put curiosity into action.

To put it nicely, it means being calm and cautious, but to put it badly, it means being too lazy to meddle in those nosy things.

Just as those obstetricians thought, the mortality rate of patients in the surgical ward is much higher than that of pregnant women. Many people will even die directly on the operating table and in the hands of surgeons. One-third of an acre of their own home

Even if they don't take care of it, how can Kawei, a little assistant, get the energy and power to take care of other people's affairs.

Under the control of this complicated emotion, he took the opportunity to see the pregnant woman who was about to have a cesarean section and entered the first obstetric ward.

There are hundreds of hospital beds neatly arranged in the large and spacious room. Most pregnant women ran outside the ward to find doctors to discuss. Those lying sparsely on the beds were basically lying quietly waiting to give birth, while a few were with the help of nurses and those who had not yet entered the hospital.

The fetal position of the pelvis is not correct and the baby is fighting fiercely.

"This is ice water, now put your belly in it..."

"so cold."

"Yes, this is the place where the baby's head will find a way to move away when it gets cold, so that the fetal position will become normal."

"Is this really possible?"

"It's what Dr. Simpros ordered. Please believe us..."

Kawei walked through the hospital beds and finally found Nora. She was lying alone on bed No. 24. The name on the hospital ID card was: Nora, no surname. She was 19 years old, older than Austria at that time.

The legal age for marriage is 21, which is still two years younger.

But the additional clause of "parental consent" can give the green light for underage marriage, and this is how Nora was married.

She is not tall and has a slender figure. She is really thin, much thinner than Kawei who eats black bread and polenta every day. The large hospital gown that covers her body and the light blond hair covering her head and shoulders make her

Looking more haggard.

She was just an ordinary poor woman, her beautiful face had been ruined by life, and even if she walked on the street with all her makeup on, no one would take a second look at her.

The bed fee of 1.5 kronor made Nora remember Kawei completely. When she saw the person coming, she sat up with difficulty and forced a smile on her face: "Doctor, thank you just now for helping me stay here."

here."

"You're welcome." Kawei glanced at the pregnant women around him, and finally his eyes fell on Nora, "How do you feel now?"

"fine."

"I just came over to take a look..."

Kawei is not an obstetrician and gynecologist, and has little understanding of the scope of obstetrics knowledge in this era [1]. However, he is familiar with the process of cesarean section and also understands the basic abdominal examination techniques of obstetrics.

While internal medicine was still learning traditional Chinese medicine and still using medical dolls [2] to make diagnoses, obstetricians had already relaxed their hands as early as the last century, not only allowing male doctors to conduct examinations, but also allowing the existence of male midwives.

Of course, this also reflects the extreme objectification of pregnant women at that time.

Surgery in the 19th century is very similar to modern surgery, that is, there is no operation if it can be avoided. In modern times, it is to reduce the damage caused by surgery, but at that time, it was to reduce unnecessary mortality.

Nora was obviously classified as a patient who needed surgery.

Judging from the judgments of Ignatz and several obstetricians, she has obvious osseous birth canal stenosis [3], and the baby is still in breech position. Although she has not yet entered the pelvis [4], she can already foresee the difficulty of normal delivery.

This gave the surgeon the opportunity to perform a cesarean section.

According to Kawei's custom before his time travel, when encountering a major surgery, the patient must undergo two complete physical health assessments.

Once upon admission and once before surgery.

Kawei did not trust these doctors, so he had to come and perform a four-part palpation method in person [5]. If the stenosis is not serious and there is a chance to restore the fetal position, then skillful use of forceps and appropriate delivery techniques can completely avoid this kind of pain.

A life-threatening cesarean section.

For Nora, this was not a shameful examination. Kawei's hands just pushed back and forth on her swollen belly a few times, and the examination was over.

"it's over?"

Nora was surprised because Kawei's speed was much faster and more stable than those doctors and midwives.

"Well, it's over."

Kawei was also surprised, because many scars could be found on her belly. Most of them were bruises, ranging from mild to severe, and it could be seen that the old and new were replaced very frequently. A few were burns, and they were cooked in the Western style.

I'm used to the weather in Vienna, so my belly shouldn't be exposed.

To be honest, it is a miracle that this child has survived to this day.

Kawei is not interested in the patient's family disputes. In his eyes, the patient's current physical condition is the first priority.

Judging from his hand measurement, Ignatz and the obstetricians had no problem with Nora's judgment. The child was in breech position. Although only part of the pelvis could be measured and the data were all extrapolations, Nora's pelvis was

The kind of small ones that are visible to the naked eye【6】.

If it were in the 21st century, it would still be necessary to do an internal pelvic measurement, that is, an internal examination, so that we can comprehensively evaluate whether the birth canal is really narrow, but it is obviously impossible to do it now.

Under such circumstances, it is difficult for Kawei to draw an objective conclusion.

Since Nora can be operated by surgery, Kawei naturally happily accepted Ignatz's diagnosis: "You do have a narrow pelvis and an abnormal fetal position. Now Teacher Ignatz is doing all the surgical practice, and we are all here

I will help you find a way and will do my best to complete this operation."

Noila nodded, but she had no objection to the number of the maternity ward: “Thank you, thank you very much.”

"You should, let's rest..."

Just as Kawei was about to leave, Nora suddenly reached out and pulled his sleeve, with embarrassment written all over his face: "Doctor, I still want to ask a question."

"Just ask."

“Is a cesarean section dangerous?”

"It is indeed dangerous, but difficult labor is also very dangerous." Kawei said it tactfully and helped her make a decision from her own perspective. "Compared with the pain caused by difficult labor, I personally feel that cesarean section is more comfortable.

, after all, we now have the greatest invention of our time: ether anesthesia.”

"It doesn't matter whether it hurts or not..." Nora hesitated for a moment and then asked, "If I go home now, will I definitely die?"

Kawei didn't quite understand what she meant: "You want to go home?"

Nora was very grateful to the young man in front of her for helping her block the man's fist. She also hoped to stay in the hospital. The free meals here were even better than those at home. But after the man left, two more people passed by

After many hours of calmness, she seemed to have changed her mind, feeling that her previous decision had been a bit hasty.

"He doesn't know how to cook. I'm afraid he won't have anything to eat at home alone."

Kawei sighed. Seeing that she was like this, he could only continue to give strong medicine. "Intimidation" has always been his common skill: "If you go home to give birth in this situation, you will be waiting to die. Then he will still have no food."

"But......"

There was a fierce battle going on in Nora's mind. The consequences of disobeying a man would often be very bad. What's more, after giving birth, she would have to protect the child, which would make life more difficult, but this was not the reason for Kawei to let her go.

.

Now that the person has been handed over to the surgeon, Kawei will not let go as long as the indications are right.

"I advise you to stay here with peace of mind. The bed fee and operation fee are all free of charge. The surgeon who performed the operation is the best surgeon in Austria. He just cured the count's hernia and made the headlines in the newspaper. He is very popular.

Respect."

Kawei had only one purpose, which was to keep this woman. "Such good treatment is rare in the whole country."

Nora touched her bulging belly and weighed it for a while before making a choice: "Okay, then I'll stay for now."

"That's right, just rest here and prepare for the operation." Kawei breathed a sigh of relief, "I still have to go find Teacher Ignatz, so I have to go first."

"Um......"

...

There was still a lot of discussion in the corridor outside the first ward.

After seeing the persistence of those doctors, the pregnant women had no choice but to hug each other for warmth with sad faces, and then accept their fate together.

Kawei bypassed the dispersed crowd and was about to go to Ignatz to explain about Andre's body. He never thought that a group of people would pour in at the gate of the third ward behind him. They were wearing black suits and dressed in style.

With elegant hair and a tie, she walked straight to the first obstetric ward as soon as she entered the door.

"Who are they?" Kawei asked a random nurse.

"A student from the medical school of the university next door."

"The momentum is really strong." Kawei thought of Berget who made a fool of himself in the surgical theater before. In terms of temperament alone, his temperament was not even the slightest bit worse. "I thought he was a big shot somewhere."

The nurse looked at Kawei like a country bumpkin, and said jokingly: "Of course they are big shots, with noble births. Especially the leader, who is the eldest son of Burg Karl, and his aura is certainly different from ordinary people."

"Border Count, his rank is higher than that of an earl."

"Who knows, but it also depends on the status. For example, although Morazo is only a count, his status as the king's cousin is a plus, so Dr. Ignatz can make the headlines."

This is indeed the capital of Austria, and even the little nurse has a deep understanding of the levels of noble titles. Kawei does not want to have anything to do with the nobles, so he just stands aside and listens to the story: "What are the medical students doing here?

?”

"Of course it's an internship, you don't even know this?" the nurse mumbled and said, "Hey, I just came here at this time, and it's already 12 o'clock after the ward check."

"Forehead......"

Kawei really didn’t know that medical schools in this era had hospital internship programs, and this was the first time he saw medical students coming for internships. He glanced at the wall clock in the corridor and said casually: “It’s almost 11 o’clock.

The two wards together have 200 beds. Can we check them in one hour?"
Chapter completed!